Treatment of gastroesophageal reflux disease (GERD) involves a stepwise approach. The goals are to control symptoms, to heal esophagitis, and to prevent recurrent esophagitis or other complications. The treatment is based on (1) lifestyle modification and (2) control of gastric acid secretion through medical therapy with antacids or PPIs or surgical treatment with corrective antireflux surgery.
Approximately 80% of patients have a recurrent but nonprogressive form of GERD that is controlled with medications. Identifying the 20% of patients who have a progressive form of the disease is important, because they may develop severe complications, such as strictures or Barrett esophagus. For patients who develop complications, surgical treatment should be considered at an earlier stage to avoid the sequelae of the disease that can have serious consequence
Lifestyle modifications include the following:
Losing weight (if overweight)
Avoiding alcohol, chocolate, citrus juice, and tomato-based products (2005 guidelines from the American College of Gastroenterology [ACG] also suggest
avoiding peppermint, coffee, and possibly the onion family
Avoiding large meals
Waiting 3 hours after a meal before lying down
Elevating the head of the bed 8 inches
having meals at regular intervals
consult surgeons to get your endoscopy done and for pharmacotherapy
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